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Ne so (Part 4A consent certificate) (To be completed on behalf of the responsible hospital) I (PRINT full name and address) am the approved clinician in charge of the treatment of (PRINT full name and address of patient) who is subject to a community treatment order. I certify that this patient has the capacity/is competent to consent (delete the one that is not appropriate) and has consented to the following treatment. The treatment is: (Give description of treatment or plan of treatment.) S.

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How to fill out the Cto12 Form online

The Cto12 Form serves as an important document under the Mental Health Act 1983, certifying a patient's capacity to consent to treatment. This guide will walk you through the online process of completing this form, ensuring you understand each section and field clearly.

Follow the steps to successfully complete the Cto12 Form online.

  1. Click the ‘Get Form’ button to access the form and open it in your chosen editing environment.
  2. In the first section, print your full name and address as the approved clinician responsible for the treatment of the patient.
  3. Next, print the full name and address of the patient who is under a community treatment order.
  4. In this section, you must certify that the patient has the capacity or is competent to consent to treatment. Delete the option that does not apply.
  5. Provide a clear description of the treatment or plan of treatment for which consent is being given.
  6. Sign the form to validate the information provided and include the date of certification.
  7. Once completed, ensure to save your changes, and you can also download, print, or share the form as needed.

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If the patient is consenting to the medication, a new Form T2 must be completed by the Responsible Clinician in charge of treatment. If the patient is refusing or is incapable of consenting to treatment a Second Opinion Appointed Doctor must be obtained to complete a new Form T3.

Community treatment order (CTO) forms for use under the Mental Health Act. CTO forms (CTO1 to CTO12) for use in connection with placing an individual under a CTO or those already subject to this order under the Mental Health Act 1983.

A T2 form is completed by the Responsible Clinician when it is believed the patient has the mental capacity to consent to their medication and is consenting to receiving it.

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